Author/Editor		Novljan, Gregor
Title		Ultrazvočni mikcijski cistogram: nova preiskava za ugotavljanje vezikoureternega refluksa pri otrocih
Translated title		Voiding urosonography: a new method for detecting vesicoureteric reflux in children
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		2003
Volume		str. 74
Language		slo
Abstract		Vesicoureteral reflux (VUR), defined as the retrograde flow of urine from the bladder to the ureters, is a common problem in children: The importance of early VUR detection is well known and it is therefore generally accepted that cystography should be undertaken in children at risk, in order to identify VUR as soon as possible. Two methods are routinely used for this purpose, namely x-ray voiding cystourethrography (VCUG) and radionuclide voiding cystography (RVC). Unfortunately, both techniques involve exposure to ionizing radiation. The recent development of stabilized echo-enhancing agents has markedly improved the sonographic detection of fluid movement within the urinary tract, which is crucial for the visualization of VUR by ultrasound and the performance of voiding ultrasonography (VUS). The application of sonography for reflux detection is in concordance with the endeavors made in common medical practice, particularly in the field of pediatrics, to develop and introduce new highly accurate diagnostic procedures with low invasiveness. The main goal of all the studies presented in this work was to prove that VUS is an accurate diagnostic imaging option for the detection of VUR in children. Furthermore, several modifications of the use of VLTS have been addressed, which, to the best of our knowledge, have not yet been published. 1. In the first chapter, the efficacy of VUS for the detection of VUR in children, as compared to the established radionuclide voiding cystography (RVC), was evaluated. Both investigations were performed simultaneously, without provocing additional discomfort to the patient. The results were analized with RVC representing the reference diagnostic test that VUS was compared to. As presumed, a high sensitivity and specificity of VUS for reflux detection were confirmed. (Abstract truncated at 2000 characters).
Descriptors		VESICO-URETERAL REFLUX CHILD CYSTOSCOPY KIDNEY TRANSPLANTATION